Board Certified Forensic Pathology Physician Advisor, Disability Peer Review

Work set-up: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

Board certification in Forensic Pathology., Active medical license., Experience in forensic pathology and disability case review., Ability to analyze medical records and provide expert opinions..

Key responsibilities:

  • Review and assess medical records related to forensic pathology for disability claims.
  • Provide expert opinions on medical necessity and evaluate treatment documentation.
  • Ensure reports are clear, concise, and supported by medical evidence.
  • Complete reviews within specified deadlines and communicate follow-up as needed.

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Dane Street, LLC Insurance SME https://www.danestreet.com/
51 - 200 Employees
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Job description

Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.

Candidates must be Board Certified in Forensic Pathology and hold an active medical license.

Requirements

JOB SUMMARY

As a Physician Advisor for Disability Peer Review, you will utilize your expertise in forensic pathology to review and assess cases relevant to disability claims. The Physician Reviewer will provide expert opinions on the medical necessity of treatments and evaluate the medical records in accordance with client-specific policies and recognized standards of care.

MAJOR DUTIES AND RESPONSIBILITIES:

    • Thoroughly review and analyze medical records related to forensic pathology to answer client inquiries using appropriate criteria and guidelines.
    • Ensure that determinations are clear, concise, and supported by adequate medical documentation.
    • Identify and reference current clinical guidelines, evidence-based research, and peer-reviewed literature to substantiate objective decision-making.
    • Provide timely and accurate reports including any relevant criteria utilized during the review process.
    • Complete reviews and return cases on or before specified deadlines.
    • Conduct follow-up communications when required based on specific case needs.
    • Maintain current licensure and fulfill all necessary certification requirements.
    • Participate in orientation and training programs as mandated.
    • Address quality assurance issues and engage in audits or additional reviews as needed.
  • Board certification in Forensic Pathology and active practice required.

PLEASE BE AWARE: In the interest of maintaining the security of all involved parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment.

Benefits

  • Robust opportunity for supplemental income
  • Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability
  • No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions.
  • Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise
  • Expanded credentials as an expert in Independent Medical Exams and physician advisor services
  • Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal

Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery.  

Required profile

Experience

Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Decision Making
  • Quality Assurance
  • Time Management
  • Detail Oriented
  • Communication

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